The bi-lingual West Africa Regional Symposium on Sanitation and Hygiene (3-5 Nov 2009, Accra, Ghana) brought together about 140 participants from 17 countries. It was jointly organised by the Resource Centre Network Ghana, UNICEF, West Africa Water Initiative (WAWI), WaterAid, and IRC International Water and Sanitation Centre, and supported by the Water Supply and Sanitation Collaborative Council.